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1699367482
BARBARA WALLACE
EL MONTE, CA
NPI
1699367482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA RH0003581119)
Enumeration Date
2021-02-03
Last Update Date
2021-02-03
Business Address
BARBARA WALLACE
11227 VALLEY BLVD
EL MONTE, CA 91731-3299
Phone number: 626-444-0705
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Mailing Address
BARBARA WALLACE
11227 VALLEY BLVD
EL MONTE, CA 91731-3299
Phone number: 626-444-0705
Copy
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